Lab Studies:
Deep compartment testing with a slit catheter was normal.
Other Studies:
A Doppler ultrasound with exercise protocol was performed and there was no decrease in ankle pressure on left or right lower extremity, suggesting normal arterial perfusion. An MRI of the knee showed accentuated, decreased calibers of the tibial and popliteal arteries in the region of the popliteal crease upon plantar flexion bilaterally, suggestive of popliteal functional gastrocnemius entrapment. Case Photo #6 Case Photo #7 There was no anatomic abnormality consistent with classic popliteal entrapment syndrome.
Consultations:
Vascular Surgeon for popliteal artery entrapment and surgical release of gastrocnemius and anterior soleus fascia.
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